ICD-10 implementations are shifting.  The center of gravity is slowly moving from predominantly payer centric industry activity to provider centric as more hospital systems close in on achieving meaningful use of electronic medical records.   Many hospitals might assume that their EMR vendor will make them ICD-10 compliant.  However as we were reminded in a recent conversation with a large hospital system, most have hundreds of systems that will be impacted by ICD-10.  Electronic medical records are one important system of record for ICD-10 diagnosis and procedure codes, however there are many more.     We recommend that HIPAA Covered Entities think holistically about the ICD-10 effort and realize that the EMR vendor may address what’s in their solution, but they cannot remediate your internal, custom systems or legacy systems, processes, etc.

Once the remediation effort begins, the need for robust  integration capabilities between systems becomes more important.  HIT vendors tend to focus on integration among their product line, and do not provide the mature enterprise messaging capabilities found in leading enterprise software vendor product lines.

Look for a balanced approach between EMR vendor, other systems, and an integration strategy that is vendor neutral, enabling all impacted systems to work together to assist in the ICD-10 transition.

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